Therefore, the patients can have a good estimation of what they will undergo in the coming few weeks time. This is particularly important in building up the rapport and it also facilitates the future placement issues. The post-operative phase: As post-operative delirium is well Selleckchem MAPK inhibitor documented to be related to inadequate pain control [13], these patients are given oral analgesics regularly

together with intra-muscular injections. They are assessed immediately by physiotherapy, occupational therapy for their mental state VS-4718 cost and rehabilitation potential. buy GDC-0994 These parameters are important information for

the rehabilitation staff in the convalescence hospital, it could help to relieve their time for reassessment and thus speed up the process of rehabilitation. Besides the assessment, the patients are also supervised to perform breathing exercise as well as walking exercise once the drains are removed. Drains are usually removed the next day. Any indwelling catheters are removed as soon as the patients are able to ambulate. The medical social workers will 17-DMAG (Alvespimycin) HCl also reassess the patients to formulate and confirm the discharge plan. These

data are recorded and transferred with the patients to the convalescence hospitals.   b. Convalescence hospitals Once the patients are transferred, the rehabilitation starts immediately. The rehabilitation is started according to the surgeon’s advice and the colleagues’ assessment. The mental state test, the Mini Mental State Examination (MMSE) and the activities of daily living, the Modified Barthel Index (MBI), are reassessed to monitor the rehabilitation progress. The discharge plan was followed base on the recommendations given by the medical social worker during the acute hospital stay. Any orthopaedic issue will be addressed by the rehabilitation specialist. On the other hand, the geriatric comorbidities will be managed by the geriatricians in the convalescence hospital. With this comprehensive approach, the re-admission rate back to acute hospital is kept to a very low rate and was decreasing in the last few years.